Stroke, Acute
Conditions
Brief summary
There is a paucity of research on the correlation between postural control and upper extremity function. Analyzing the mechanisms of postural deficits and related problems is believed to give idea for any conceivable advance in future rehabilitation strategies in patients with stroke. The purpose of this study was to examine the effect of scapular exercises on the scapular stability and trunk control. We hypothesized that scapular exercises correct the scapular position and improve postural control. Hence the reaching out movement can be applied in a controlled and fluent manner at the end of the treatment.
Interventions
OTHERBobath Approach
The patients in both groups were treated with the exercise program according to the Bobath concept was planned taking the functional needs of the survivors into account, including stretching and facilitation of latissimus dorsi muscle, facilitation of abdominal muscles, placing exercises, training of lumbar spine stabilizers, functional reach of shoulder in different directions. Five sessions of about an hour each were provided to the patients
OTHERIsometric scapular exercises
Isometric scapular exercises were performed to the patients included to the study group in a sitting position and at 900 of the shoulder flexion and 900 of the shoulder abduction. The patients were exercised by a physiotherapist using isometric contraction in protraction and retraction by a physiotherapist. Isometric contractions lasted 5 seconds and each exercise was repeated 2x15 times. One minute rest period was given between sets
Sponsors
Suleyman Demirel University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
Diagnosed as acute stroke, being able to sit without support, presence of hemiparesis, clinical stability
Exclusion criteria
Shoulder joint dysfunction due to previous musculoskeletal disease, severe dementia, severe visual disturbances that could not be corrected with glasses, severe aphasia, scored ≥ 3 on the Modified Ashworth Scale and refused to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Scapular mobility | 12 months | Distance between medial border of scapula and columna vertebralis |
| Trunk Impairment Scale | 12 months | postural control ability of the trunk |
| Trunk Control Test | 12 months | Trunk Control |
| Modified Barthel Index | 12 months | evaluate the level of disability during daily life activities |
| Reaching Performance Test | 12 months | Reaching Performance |
Countries
Turkey (Türkiye)
Outcome results
None listed